Simmons, Jason Neel

Simmons, Jason Neel is an individual health care provider with primary practice located at 800 W Woodlawn Ave , Louisville KY 40215-2472. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Simmons, Jason Neel can be contacted via phone (502) 409-7181.

Contact Information

Primary practice address
800 W Woodlawn Ave Louisville KY 40215-2472
Fax: (888) 450-0935
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-02-0855 Texas

Profile Details

NPI number 1922336916
LBN Legal business name Simmons, Jason Neel
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2009
Last updated Oct 28th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922336916 NPPES
Kentucky MEDICAID 7100337780

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